NPIMap

Organization Active NPI

Vancrest, LTD

  • Skilled Nursing Facility
  • Delphos, OH
National Provider Identifier
1164512968
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
5358 Issued in OH
Legal business name
VANCREST, LTD
Practice address
1425 E 5TH St
Delphos, OH 45833-9142
Phone
(419) 695-2871
Fax
(419) 692-0462
NPI assigned
Oct 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kyle Holliday
Title
Asst Cfo
Phone
(419) 238-0715

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 5358 OH Primary

Addresses

Primary practice location

1425 E 5TH St
Delphos, OH 45833-9142

Mailing address

120 W Main St Ste 200
Van Wert, OH 45891-1761
Phone (419) 238-0715

Other identifiers 2

IdentifierTypeStateIssuer
2041445MedicaidOH
000000227781OtherOHANTHEM

Other names 1

  • Vancrest Health Care Center of Delphos Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100319000311 OH Part A Provider - Skilled Nursing Facility 6800703406 Practice locations: Delphos, OH

Skilled nursing facility certification: CCN 366189

Legal name
VANCREST, LTD
Doing business as
VANCREST HEALTH CARE CENTER OF DELPHOS
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 4, 2000
Last certification
Sep 28, 2023
Beds
99
Ownership / control type
Partnership
Multi-facility organization
Vancrest, LTD
Organization structure
LLCProprietary
Incorporated
Oct 28, 1997 in OH
Enrollment address
1425 E 5TH St
Delphos, OH 45833-9142
Nursing home name
VANCREST OF DELPHOS
Affiliated entity
VANCREST HEALTH CARE CENTERS

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Vancrest of DelphosCCN 366189
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
3 of 5
Quality measures
5 of 5
Type
Medicare and Medicaid
Ownership
For profit - Partnership
Certified
Feb 4, 2000
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9985.8 residents per day on average
Chain
Vancrest Health Care Centers13 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Vancrest Assisted Living4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Nicole Marie Hershey Individual W-2 Managing EmployeeDon Feb 2, 2004
Vancrest Management Corp. Organization, Van Wert, OH For-profit Operational/Managerial Control Mar 9, 2010
Jon D Bagley Individual 5% Or Greater Direct Ownership Interest Mar 1, 1998 40%
Corporate OfficerCoo Mar 1, 1998
Corporate Director Mar 1, 1998
Mark a White Individual 5% Or Greater Direct Ownership Interest Mar 1, 1998 60%
Corporate OfficerCeo Mar 1, 1998
Corporate Director Mar 1, 1998
Mickey Murphy Individual W-2 Managing EmployeeAdministrator Sep 25, 2000

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 8

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779148800000",
    "number": "1164512968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W MAIN ST STE 200",
            "city": "VAN WERT",
            "state": "OH",
            "postal_code": "458911761",
            "telephone_number": "419-238-0715",
            "fax_number": "419-238-4814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 E 5TH ST",
            "city": "DELPHOS",
            "state": "OH",
            "postal_code": "458339142",
            "telephone_number": "419-695-2871",
            "fax_number": "419-692-0462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANCREST, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-13",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "ASST CFO",
        "authorized_official_telephone_number": "419-238-0715"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "OH",
            "license": "5358",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2041445",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000227781",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vancrest Health Care Center of Delphos",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Delphos, OH

Sources for this page

Verify at the official NPI Registry.